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What are MSOs?

Management service organizations (MSOs) have emerged as a way to address the challenges associated with provider adoption of electronic health records (EHRs). These challenges include the cost and maintenance required for the technology, and the responsibilities that accompany the storage of electronic data privacy and security. Unlike the traditional EHR client-server model where the data and technology is hosted locally at the provider site, MSOs offer EHRs hosted in a centralized secure data center. Data is safeguarded through a network operating center that, by design, ensures high quality and uninterrupted service. MSOs enable physicians to access a consumer's record wherever access to the Internet exists. These remotely hosted EHRs enable providers to focus on practicing medicine rather than dedicating staff to support the application.

On May 19, 2009, Governor Martin O'Malley signed into law House Bill 706, Electronic Health Records - Regulation and Reimbursement. This law requires the Maryland Health Care Commission (MHCC) to designate one or more MSOs that will offer EHRs throughout the state by October 2012. COMAR 10.25.15, Management Service Organization State Designation, outlines the requirements for MSO State-Designation. In May 2010, the MHCC began accepting applications for MSO State-Designation Candidacy Status, and in May 2011 the first MSOs were State-Designated.

MSO Advisory Panel

The MHCC convened an MSO Advisory Panel to make recommendations of the criteria for MSOs that seek State-Designation and for enhancements to the State-Designation program. For information on the work of the Advisory Panel click here.

 MSO Advisory Panel Meeting Schedule (All Meetings are at MHCC)

Meeting Materials

Friday, January 31, 2014

  1. MSO Advisory Panel Slide Deck
  2. MSO State Designation Draft Requirements
  3. MSO Scoring Matrix

Information Materials

For more information on the Maryland Regional Extension, click here

Any organization seeking more information on becoming a State-Designated MSO, please contact:  Sarah Orth, 410-764-3449.

Last Updated:  February 3, 2014